Restenosis of a drug eluting stent on the previous bioresorbable vascular scaffold successfully treated with a drug-coated balloon: A case report

Figure 1 Index percutaneous coronary intervention performed 36 mo ago. A: Coronary angiography image showing significant stenosis in the proximal left anterior descending artery; B: Optical coherence tomography image showing optimal implantation of the bioresorbable vascular scaffold.

Figure 2 Very late scaffold thrombosis noted 20 mo ago. A: Coronary angiography image showing total occlusion of the proximal left anterior descending artery; B: Optical coherence tomography image showing a red thrombus associated with disruption of the scaffold strut; C: Revascularization was successfully performed with the drug eluting stent (DES) covering the whole segment of the previous scaffold; D: Optical coherence tomography image showing optimal implantation of the DES on the previous bioresorbable vascular scaffold.

Figure 3 Restenosis of the drug eluting stent on the previous bioresorbable vascular Scaffold. A: Coronary angiography image showing significant stenosis in the proximal left anterior descending artery; B: Optical coherence tomography image showing plaque rupture and a disrupted scaffold strut in the neointimal proliferation of drug eluting stent; C: Angiography image showing optimal diameter gain by the drug-coated balloon; D: Optical coherence tomography image showing achievement of optimal luminal gain.